Drug Name 
Drug Strength 
Units in Package 
Tier Level 
Amount Limit 
Days Limit 
Prior Authorization Y/N 
Step Therapy Y/N 
Cost Preferred 
Max 
Cost Non Preferred 
Max 
Cost Mail 
Max 
Tabloid 
40mg 
1 Bottle In 1 Carton > 25 Tablet In 1 Bottle 
3 


N 
N 
$42  N  $47  N  $42  N 
Taclonex 
.5; 50mg/g; ug/g 
100 Carton In 1 Case > 1 Tube In 1 Carton > 60 G In 1 Tube 
5 


N 
N 
33%  N  33%  N  33%  N 
Taclonex 
.5; 50mg/g; ug/g 
40 Carton In 1 Case > 1 Bottle In 1 Carton > 60 G In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tacrolimus 

1 Tube In 1 Carton > 30 G In 1 Tube 
2 


N 
N 
$15  N  $20  N  $15  N 
Tacrolimus 

1 Tube In 1 Carton > 30 G In 1 Tube 
2 


N 
N 
$15  N  $20  N  $15  N 
Tacrolimus 
.5mg 
100 Capsule In 1 Bottle 
2 


Y 
N 
$15  N  $20  N  $15  N 
Tacrolimus 
1mg 
100 Capsule In 1 Bottle 
2 


Y 
N 
$15  N  $20  N  $15  N 
Tacrolimus 
5mg 
100 Capsule In 1 Bottle 
2 


Y 
N 
$15  N  $20  N  $15  N 
Talwin 
30mg/mL 
1 Vial, Multidose In 1 Carton > 10 Ml In 1 Vial, Multidose 
4 


N 
N 
$80  N  $100  N  $80  N 
Tamiflu 
75mg 
1 Blister Pack In 1 Carton > 10 Capsule In 1 Blister Pack 
3 


N 
N 
$42  N  $47  N  $42  N 
Tamiflu 
45mg 
1 Blister Pack In 1 Carton > 10 Capsule In 1 Blister Pack 
3 


N 
N 
$42  N  $47  N  $42  N 
Tamiflu 
30mg 
1 Blister Pack In 1 Carton > 10 Capsule In 1 Blister Pack 
3 


N 
N 
$42  N  $47  N  $42  N 
Tamiflu 
6mg/mL 
1 Bottle, Glass In 1 Carton > 60 Ml In 1 Bottle, Glass 
3 


N 
N 
$42  N  $47  N  $42  N 
Tamoxifen Citrate 
10mg 
180 Tablet, Film Coated In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tamoxifen Citrate 
20mg 
30 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tamsulosin Hydrochloride 

100 Capsule In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tanzeum 
30mg/.5mL 
4 Syringe In 1 Carton > .5 Ml In 1 Syringe 
4 


N 
N 
$80  N  $100  N  $80  N 
Tanzeum 
50mg/.5mL 
4 Syringe In 1 Carton > .5 Ml In 1 Syringe 
4 


N 
N 
$80  N  $100  N  $80  N 
Tapazole 
5mg 
100 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tapazole 
10mg 
100 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tarceva 
25mg 
30 Tablet In 1 Bottle 
5 


N 
N 
33%  N  33%  N  33%  N 
Tarceva 
100mg 
30 Tablet In 1 Bottle 
5 


N 
N 
33%  N  33%  N  33%  N 
Tarceva 
150mg 
30 Tablet In 1 Bottle 
5 


N 
N 
33%  N  33%  N  33%  N 
Targretin 

60 G In 1 Tube 
3 


N 
N 
$42  N  $47  N  $42  N 
Targretin 
75mg 
1 Bottle In 1 Carton > 100 Capsule, Liquid Filled In 1 Bottle 
5 


N 
N 
33%  N  33%  N  33%  N 
Tarina Fe 1/20 

3 Pouch In 1 Carton > 1 Kit In 1 Pouch 
2 


N 
N 
$15  N  $20  N  $15  N 
Tarka 
2; 180mg/1; mg 
100 Tablet, Film Coated, Extended Release In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tarka 
1; 240mg/1; mg 
100 Tablet, Film Coated, Extended Release In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tarka 
2; 240mg/1; mg 
100 Tablet, Film Coated, Extended Release In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tarka 
4; 240mg/1; mg 
100 Tablet, Film Coated, Extended Release In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tasigna 
200mg 
28 Capsule In 1 Blister Pack 
5 


N 
N 
33%  N  33%  N  33%  N 
Tasigna 
150mg 
4 Blister Pack In 1 Carton > 28 Capsule In 1 Blister Pack 
5 


N 
N 
33%  N  33%  N  33%  N 
Tasmar 
100mg 
90 Tablet, Film Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Taxotere 
80mg/4mL 
1 Vial, Glass In 1 Carton > 4 Ml In 1 Vial, Glass 
4 


N 
N 
$80  N  $100  N  $80  N 
Tazicef 

25 Vial In 1 Tray > 1 Injection, Powder, For Solution In 1 Vial 
2 


N 
N 
$15  N  $20  N  $15  N 
Tazicef 

10 Vial In 1 Tray > 1 Injection, Powder, For Solution In 1 Vial 
2 


N 
N 
$15  N  $20  N  $15  N 
Tazicef 

10 Vial, Pharmacy Bulk Package In 1 Carton > 1 Injection, Powder, For Solution In 1 Vial, Pharmacy Bulk Package 
2 


N 
N 
$15  N  $20  N  $15  N 
Tazorac 
1mg/g 
1 Tube In 1 Carton > 100 G In 1 Tube 
3 


Y 
N 
$42  N  $47  N  $42  N 
Tazorac 
.5mg/g 
1 Tube In 1 Carton > 100 G In 1 Tube 
3 


Y 
N 
$42  N  $47  N  $42  N 
Tazorac 
.5mg/g 
1 Tube In 1 Carton > 60 G In 1 Tube 
3 


Y 
N 
$42  N  $47  N  $42  N 
Tazorac 
1mg/g 
1 Tube In 1 Carton > 60 G In 1 Tube 
3 


Y 
N 
$42  N  $47  N  $42  N 
Taztia 
120mg 
90 Capsule, Extended Release In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Taztia 
180mg 
90 Capsule, Extended Release In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Taztia 
240mg 
90 Capsule, Extended Release In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Taztia 
300mg 
90 Capsule, Extended Release In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Taztia 
360mg 
90 Capsule, Extended Release In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Tecfidera 
120mg 
1 Bottle, Plastic In 1 Carton > 14 Capsule In 1 Bottle, Plastic 
5 


N 
N 
33%  N  33%  N  33%  N 
Tecfidera 
240mg 
1 Bottle, Plastic In 1 Carton > 60 Capsule In 1 Bottle, Plastic 
5 


N 
N 
33%  N  33%  N  33%  N 
Tecfidera 

1 Kit In 1 Kit * 14 Capsule In 1 Bottle, Plastic * 46 Capsule In 1 Bottle, Plastic 
5 


N 
N 
33%  N  33%  N  33%  N 
Teflaro 
400mg/20mL 
10 Vial, Singledose In 1 Carton 
4 


N 
N 
$80  N  $100  N  $80  N 
Teflaro 
600mg/20mL 
10 Vial, Singledose In 1 Carton 
4 


N 
N 
$80  N  $100  N  $80  N 
Tegretol 
100mg/5mL 
450 Ml In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tegretol 
200mg 
100 Tablet In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tegretol 
100mg 
100 Tablet, Extended Release In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tegretol 
200mg 
100 Tablet, Extended Release In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tegretol 
400mg 
100 Tablet, Extended Release In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tekturna 
150mg 
30 Tablet, Film Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tekturna 
300mg 
30 Tablet, Film Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tekturna Hct 
150; 12.5mg/1; mg 
30 Tablet, Film Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tekturna Hct 
150; 25mg/1; mg 
30 Tablet, Film Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tekturna Hct 
300; 12.5mg/1; mg 
30 Tablet, Film Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tekturna Hct 
300; 25mg/1; mg 
30 Tablet, Film Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Telmisartan 
20mg 
3 Blister Pack In 1 Carton > 10 Tablet In 1 Blister Pack 
2 


N 
N 
$15  N  $20  N  $15  N 
Telmisartan 
40mg 
3 Blister Pack In 1 Carton > 10 Tablet In 1 Blister Pack 
2 


N 
N 
$15  N  $20  N  $15  N 
Telmisartan 
80mg 
3 Blister Pack In 1 Carton > 10 Tablet In 1 Blister Pack 
2 


N 
N 
$15  N  $20  N  $15  N 
Telmisartan And Amlodipine 
5; 40mg/1; mg 
30 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Telmisartan And Amlodipine 
10; 40mg/1; mg 
30 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Telmisartan And Amlodipine 
5; 80mg/1; mg 
30 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Telmisartan And Amlodipine 
10; 80mg/1; mg 
30 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Telmisartan And Hydrochlorothiazide 

90 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Telmisartan And Hydrochlorothiazide 

90 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Telmisartan And Hydrochlorothiazide 

90 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Temazepam 
7.5mg 
100 Capsule In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Temazepam 
22.5mg 
30 Capsule In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Temazepam 
15mg 
100 Blister Pack In 1 Box, Unitdose 
2 


N 
N 
$15  N  $20  N  $15  N 
Temazepam 
30mg 
500 Capsule In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Temovate 
.5mg/g 
1 Tube In 1 Carton > 30 G In 1 Tube 
2 


N 
N 
$15  N  $20  N  $15  N 
Tencon 

100 Tablet In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Tenex 
1mg 
500 Tablet In 1 Bottle, Plastic 
4 


N 
N 
$80  N  $100  N  $80  N 
Tenex 
2mg 
100 Tablet In 1 Bottle, Plastic 
4 


N 
N 
$80  N  $100  N  $80  N 
Tenivac 

10 Syringe In 1 Package > .5 Ml In 1 Syringe 
6 


N 
N 
$0  N  $0  N  NA  N 
Terazol 3 

1 Tube, With Applicator In 1 Carton > 20 G In 1 Tube, With Applicator 
4 


N 
N 
$80  N  $100  N  $80  N 
Terazol 7 

1 Tube, With Applicator In 1 Carton > 45 G In 1 Tube, With Applicator 
4 


N 
N 
$80  N  $100  N  $80  N 
Terazosin 
1mg 
100 Capsule In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Terazosin Hydrochloride 
2mg 
100 Capsule In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Terazosin Hydrochloride 
5mg 
100 Capsule In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Terazosin Hydrochloride 
10mg 
100 Capsule In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Terbinafine Hydrochloride 

90 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Terbutaline Sulfate 
2.5mg 
100 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Terbutaline Sulfate 
5mg 
100 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Terbutaline Sulfate 
1mg/mL 
25 Vial, Singleuse In 1 Tray > 1 Ml In 1 Vial, Singleuse 
2 


N 
N 
$15  N  $20  N  $15  N 
Terconazole 
80mg 
1 Blister Pack In 1 Carton > 3 Suppository In 1 Blister Pack 
2 


N 
N 
$15  N  $20  N  $15  N 
Terconazole 
8mg/g 
1 Tube, With Applicator In 1 Carton > 20 G In 1 Tube, With Applicator 
2 


N 
N 
$15  N  $20  N  $15  N 
Terconazole 
4mg/g 
1 Tube, With Applicator In 1 Carton > 45 G In 1 Tube, With Applicator 
2 


N 
N 
$15  N  $20  N  $15  N 
Testim 
50mg/5g 
30 Tube In 1 Carton > 5 G In 1 Tube 
4 


N 
N 
$80  N  $100  N  $80  N 
Testosterone 

1 Canister In 1 Carton > 60 G In 1 Canister 
2 


N 
N 
$15  N  $20  N  $15  N 
Testosterone 

30 Packet In 1 Carton 
2 


N 
N 
$15  N  $20  N  $15  N 
Testosterone Cypionate 

1 Vial, Multidose In 1 Carton > 10 Ml In 1 Vial, Multidose 
2 


N 
N 
$15  N  $20  N  $15  N 
Testosterone Cypionate 

1 Vial, Multidose In 1 Carton > 10 Ml In 1 Vial, Multidose 
2 


N 
N 
$15  N  $20  N  $15  N 
Testosterone Enanthate 
200mg/mL 
1 Vial, Multidose In 1 Carton > 5 Ml In 1 Vial, Multidose 
2 


N 
N 
$15  N  $20  N  $15  N 
Tetracycline Hydrochloride 
250mg 
100 Capsule In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tetracycline Hydrochloride 
500mg 
100 Capsule In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Thalomid 
50mg 
10 Blister Pack In 1 Box 
5 


N 
N 
33%  N  33%  N  33%  N 
Thalomid 
100mg 
5 Blister Pack In 1 Box 
5 


N 
N 
33%  N  33%  N  33%  N 
Thalomid 
150mg 
4 Blister Pack In 1 Box 
5 


N 
N 
33%  N  33%  N  33%  N 
Thalomid 
200mg 
3 Blister Pack In 1 Box 
5 


N 
N 
33%  N  33%  N  33%  N 
Theophylline 
400mg 
100 Tablet, Extended Release In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Theophylline 
600mg 
100 Tablet, Extended Release In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Theophylline 
300mg 
100 Tablet, Extended Release In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Theophylline 
200mg 
500 Tablet, Extended Release In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Theophylline 
100mg 
500 Tablet, Extended Release In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Theophylline 
450mg 
100 Tablet, Extended Release In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Theophylline 
80mg/15mL 
473 Ml In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Thiola 
100mg 
100 Tablet, Sugar Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Thioridazine Hydrochloride 
100mg 
100 Tablet, Film Coated In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Thioridazine Hydrochloride 
50mg 
100 Blister Pack In 1 Box, Unitdose 
2 


N 
N 
$15  N  $20  N  $15  N 
Thioridazine Hydrochloride 
10mg 
1000 Tablet, Film Coated In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Thioridazine Hydrochloride 
25mg 
1000 Tablet, Film Coated In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Thiothixene 
2mg 
100 Capsule In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Thiothixene 
5mg 
100 Capsule In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Thiothixene 
10mg 
100 Capsule In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Thiothixene 
1mg 
100 Capsule In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Thymoglobulin 
5mg/mL 
5 Ml In 1 Vial, Glass 
4 


N 
N 
$80  N  $100  N  $80  N 
Thyrolar 
12.5; 3.1ug/1; ug 
100 Tablet In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Thyrolar 
25; 6.25ug/1; ug 
100 Tablet In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Thyrolar 
50; 12.5ug/1; ug 
100 Tablet In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Thyrolar 
100; 25ug/1; ug 
100 Tablet In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Thyrolar 
150; 37.5ug/1; ug 
100 Tablet In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tiagabine Hydrochloride 
2mg 
30 Tablet, Film Coated In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tiagabine Hydrochloride 
4mg 
30 Tablet, Film Coated In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tiazac 

90 Capsule, Extended Release In 1 Bottle, Plastic 
4 


N 
N 
$80  N  $100  N  $80  N 
Tiazac 

90 Capsule, Extended Release In 1 Bottle, Plastic 
4 


N 
N 
$80  N  $100  N  $80  N 
Tiazac 

90 Capsule, Extended Release In 1 Bottle, Plastic 
4 


N 
N 
$80  N  $100  N  $80  N 
Tiazac 

90 Capsule, Extended Release In 1 Bottle, Plastic 
4 


N 
N 
$80  N  $100  N  $80  N 
Tiazac 

90 Capsule, Extended Release In 1 Bottle, Plastic 
4 


N 
N 
$80  N  $100  N  $80  N 
Tiazac 

90 Capsule, Extended Release In 1 Bottle, Plastic 
4 


N 
N 
$80  N  $100  N  $80  N 
Tigan 

25 Vial, Singledose In 1 Tray > 2 Ml In 1 Vial, Singledose 
4 


N 
N 
$80  N  $100  N  $80  N 
Tigan 
300mg 
100 Capsule In 1 Bottle 
4 


Y 
N 
$80  N  $100  N  $80  N 
Tikosyn 
.125mg 
60 Capsule In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tikosyn 
.25mg 
60 Capsule In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tikosyn 
.5mg 
60 Capsule In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Timolol Maleate 
5mg 
100 Tablet In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Timolol Maleate 
10mg 
100 Tablet In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Timolol Maleate 
20mg 
100 Tablet In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Timolol Maleate 
3.4mg/mL 
1 Bottle, Dispensing In 1 Carton > 5 Ml In 1 Bottle, Dispensing 
2 


N 
N 
$15  N  $20  N  $15  N 
Timolol Maleate 
6.8mg/mL 
1 Bottle, Dispensing In 1 Carton > 5 Ml In 1 Bottle, Dispensing 
2 


N 
N 
$15  N  $20  N  $15  N 
Timolol Maleate 
2.5mg/mL 
15 Ml In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Timolol Maleate 
5mg/mL 
10 Ml In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Timopticxe 
2.5mg/mL 
1 Bottle, Dispensing In 1 Carton > 5 Ml In 1 Bottle, Dispensing 
4 


N 
N 
$80  N  $100  N  $80  N 
Timopticxe 
5mg/mL 
1 Bottle, Dispensing In 1 Carton > 5 Ml In 1 Bottle, Dispensing 
4 


N 
N 
$80  N  $100  N  $80  N 
Tindamax 

20 Tablet, Film Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tinidazole 
250mg 
40 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tinidazole 
500mg 
60 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tirosint 
13ug 
4 Blister Pack In 1 Carton > 7 Capsule In 1 Blister Pack 
4 


N 
N 
$80  N  $100  N  $80  N 
Tirosint 
25ug 
4 Blister Pack In 1 Carton > 7 Capsule In 1 Blister Pack 
4 


N 
N 
$80  N  $100  N  $80  N 
Tirosint 
50ug 
4 Blister Pack In 1 Carton > 7 Capsule In 1 Blister Pack 
4 


N 
N 
$80  N  $100  N  $80  N 
Tirosint 
75ug 
4 Blister Pack In 1 Carton > 7 Capsule In 1 Blister Pack 
4 


N 
N 
$80  N  $100  N  $80  N 
Tirosint 
88ug 
4 Blister Pack In 1 Carton > 7 Capsule In 1 Blister Pack 
4 


N 
N 
$80  N  $100  N  $80  N 
Tirosint 
100ug 
4 Blister Pack In 1 Carton > 7 Capsule In 1 Blister Pack 
4 


N 
N 
$80  N  $100  N  $80  N 
Tirosint 
112ug 
4 Blister Pack In 1 Carton > 7 Capsule In 1 Blister Pack 
4 


N 
N 
$80  N  $100  N  $80  N 
Tirosint 
125ug 
4 Blister Pack In 1 Carton > 7 Capsule In 1 Blister Pack 
4 


N 
N 
$80  N  $100  N  $80  N 
Tirosint 
137ug 
4 Blister Pack In 1 Carton > 7 Capsule In 1 Blister Pack 
4 


N 
N 
$80  N  $100  N  $80  N 
Tirosint 
150ug 
4 Blister Pack In 1 Carton > 7 Capsule In 1 Blister Pack 
4 


N 
N 
$80  N  $100  N  $80  N 
Tivicay 
50mg 
30 Tablet, Film Coated In 1 Bottle 
3 


N 
N 
$42  N  $47  N  $42  N 
Tivorbex 

90 Capsule In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tivorbex 

90 Capsule In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tizanidine 
2mg 
150 Tablet In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Tizanidine 
4mg 
1000 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tizanidine Hydrochloride 
2mg 
150 Capsule, Gelatin Coated In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tizanidine Hydrochloride 
4mg 
150 Capsule, Gelatin Coated In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tizanidine Hydrochloride 
6mg 
150 Capsule, Gelatin Coated In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tobi 
300mg/5mL 
56 Pouch In 1 Carton 
5 


Y 
N 
33%  N  33%  N  33%  N 
Tobi Podhaler 
28mg 
224 Package In 1 Box, Unitdose 
5 


N 
N 
33%  N  33%  N  33%  N 
Tobradex 
1; 3mg/mL; mg/mL 
5 Ml In 1 Bottle, Plastic 
4 


N 
N 
$80  N  $100  N  $80  N 
Tobradex 
1; 3mg/g; mg/g 
3.5 G In 1 Tube 
3 


N 
N 
$42  N  $47  N  $42  N 
Tobradex St 
.5; 3mg/mL; mg/mL 
5 Ml In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tobramycin 
300mg/5mL 
56 Ampule In 1 Carton > 5 Ml In 1 Ampule 
2 


Y 
N 
$15  N  $20  N  $15  N 
Tobramycin 
10mg/mL 
25 Vial, Multidose In 1 Tray > 2 Ml In 1 Vial, Multidose 
2 


N 
N 
$15  N  $20  N  $15  N 
Tobramycin 
40mg/mL 
25 Vial, Multidose In 1 Tray > 2 Ml In 1 Vial, Multidose 
2 


N 
N 
$15  N  $20  N  $15  N 
Tobramycin 
3mg/mL 
1 Bottle, Dropper In 1 Carton > 5 Ml In 1 Bottle, Dropper 
2 


N 
N 
$15  N  $20  N  $15  N 
Tobramycin And Dexamethasone 
1; 3mg/mL; mg/mL 
1 Bottle, Dropper In 1 Carton > 5 Ml In 1 Bottle, Dropper 
2 


N 
N 
$15  N  $20  N  $15  N 
Tobrex 
3mg/mL 
5 Ml In 1 Bottle, Plastic 
4 


N 
N 
$80  N  $100  N  $80  N 
Tobrex 
3mg/g 
3.5 G In 1 Tube 
3 


N 
N 
$42  N  $47  N  $42  N 
Tofranil 
10mg 
30 Tablet, Sugar Coated In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tofranil 
25mg 
30 Tablet, Sugar Coated In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tofranil 
50mg 
30 Tablet, Sugar Coated In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tolazamide 
250mg 
100 Tablet In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Tolazamide 
500mg 
100 Tablet In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Tolbutamide 
500mg 
500 Tablet In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Tolmetin Sodium 
400mg 
100 Capsule In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tolmetin Sodium 
600mg 
100 Tablet, Film Coated In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Tolterodine Tartrate 
2mg 
30 Capsule, Extended Release In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Tolterodine Tartrate 

500 Capsule, Extended Release In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Tolterodine Tartrate 
2mg 
60 Tablet, Film Coated In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Tolterodine Tartrate 
1mg 
500 Tablet, Film Coated In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Topamax 
25mg 
60 Tablet, Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Topamax 
50mg 
60 Tablet, Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Topamax 
100mg 
60 Tablet, Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Topamax 
200mg 
60 Tablet, Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Topamax 
25mg 
60 Capsule, Coated Pellets In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Topamax 
15mg 
60 Capsule, Coated Pellets In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Topicort 
.5mg/g 
1 Tube In 1 Carton > 60 G In 1 Tube 
2 


N 
N 
$15  N  $20  N  $15  N 
Topicort 
2.5mg/g 
1 Tube In 1 Carton > 60 G In 1 Tube 
2 


N 
N 
$15  N  $20  N  $15  N 
Topicort 
2.5mg/g 
1 Tube In 1 Carton > 60 G In 1 Tube 
2 


N 
N 
$15  N  $20  N  $15  N 
Topicort 
.5mg/g 
1 Tube In 1 Carton > 60 G In 1 Tube 
2 


N 
N 
$15  N  $20  N  $15  N 
Topicort 
.5mg/g 
1 Tube In 1 Carton > 60 G In 1 Tube 
4 


N 
N 
$80  N  $100  N  $80  N 
Topicort 
2.5mg/mL 
1 Bottle In 1 Carton > 100 Ml In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Topiramate 
15mg 
60 Capsule, Coated Pellets In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Topiramate 

30 Capsule, Extended Release In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Topiramate 

30 Capsule, Extended Release In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Topiramate 

30 Capsule, Extended Release In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Topiramate 

30 Capsule, Extended Release In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Topiramate 

30 Capsule, Extended Release In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Topiramate 
25mg 
60 Capsule, Coated Pellets In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Topiramate 
25mg 
1000 Tablet, Film Coated In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Topiramate 
100mg 
1000 Tablet, Film Coated In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Topiramate 
200mg 
1000 Tablet, Film Coated In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Topiramate 
50mg 
1000 Tablet, Film Coated In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Toposar 
20mg/mL 
1 Vial, Multidose In 1 Carton > 50 Ml In 1 Vial, Multidose 
2 


N 
N 
$15  N  $20  N  $15  N 
Toprol 
25mg 
100 Tablet, Extended Release In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Toprol 
50mg 
100 Tablet, Extended Release In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Toprol 
100mg 
100 Tablet, Extended Release In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Toprol 
200mg 
100 Tablet, Extended Release In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Torisel 

1 Kit In 1 Carton 
3 


N 
N 
$42  N  $47  N  $42  N 
Torsemide 
20mg 
100 Tablet In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Torsemide 
100mg 
12 Bottle In 1 Case > 100 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Torsemide 

100 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Torsemide 

100 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Toviaz 
4mg 
30 Tablet, Film Coated, Extended Release In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Toviaz 
8mg 
30 Tablet, Film Coated, Extended Release In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tpn Electrolytes 
331; 508; 1491; 2420; 321mg/20mL; mg/20mL; mg/20mL; mg/20mL; mg/20mL 
25 Vial, Singledose In 1 Tray > 20 Ml In 1 Vial, Singledose 
2 


N 
N 
$15  N  $20  N  $15  N 
Tracleer 
62.5mg 
1 Bottle, Plastic In 1 Carton > 60 Tablet, Film Coated In 1 Bottle, Plastic 
5 


N 
N 
33%  N  33%  N  33%  N 
Tracleer 
125mg 
1 Bottle, Plastic In 1 Carton > 60 Tablet, Film Coated In 1 Bottle, Plastic 
5 


N 
N 
33%  N  33%  N  33%  N 
Tradjenta 
5mg 
90 Tablet, Film Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tramadol Hydrochloride 
50mg 
100 Tablet, Film Coated In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tramadol Hydrochloride 
300mg 
100 Tablet, Extended Release In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tramadol Hydrochloride 
100mg 
30 Tablet, Extended Release In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Tramadol Hydrochloride 
200mg 
30 Tablet, Extended Release In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Tramadol Hydrochloride And Acetaminophen 
325; 37.5mg/1; mg 
1000 Tablet, Film Coated In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Trandolapril 

100 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Trandolapril 

100 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Trandolapril 

100 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Trandolapril And Verapamil Hydrochloride 

100 Tablet, Film Coated, Extended Release In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Trandolapril And Verapamil Hydrochloride 

100 Tablet, Film Coated, Extended Release In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Trandolapril And Verapamil Hydrochloride 

100 Tablet, Film Coated, Extended Release In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Trandolapril And Verapamil Hydrochloride 

100 Tablet, Film Coated, Extended Release In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tranexamic Acid 
650mg 
30 Tablet, Film Coated In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Tranexamic Acid 
100mg/mL 
10 Vial, Singledose In 1 Package 
2 


N 
N 
$15  N  $20  N  $15  N 
Transderm Scop 
1mg/3d 
10 Pouch In 1 Box > 1 Patch In 1 Pouch > 3 D In 1 Patch 
3 


N 
N 
$42  N  $47  N  $42  N 
Tranxene 
3.75mg 
100 Tablet In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tranxene 
7.5mg 
100 Tablet In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tranylcypromine Sulfate 
10mg 
100 Tablet In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Travasol 
2.07; 1.15; 1.03; 480; 600; 730; 580; 400; 560; 68g/100mL; g/100mL; g/100mL; mg/100mL; mg/100mL; mg 
2000 Ml In 1 Bag 
4 


N 
N 
$80  N  $100  N  $80  N 
Travatan Z 
.04mg/mL 
2.5 Ml In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Travoprost Ophthalmic Solution 0.004% 
.04mg/mL 
1 Bottle In 1 Carton > 2.5 Ml In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Trazodone Hydrochloride 
300mg 
100 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Trazodone Hydrochloride 
50mg 
500 Tablet In 1 Bottle 
1 


N 
N 
$5  N  $10  N  $5  N 
Trazodone Hydrochloride 
100mg 
500 Tablet In 1 Bottle 
1 


N 
N 
$5  N  $10  N  $5  N 
Trazodone Hydrochloride 
150mg 
100 Tablet In 1 Bottle 
1 


N 
N 
$5  N  $10  N  $5  N 
Treanda 
100mg/20mL 
20 Ml In 1 Vial, Singleuse 
3 


N 
N 
$42  N  $47  N  $42  N 
Trecator 
250mg 
100 Tablet, Film Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Trelstar 
22.5mg/2mL 
2 Ml In 1 Vial, Singledose 
4 


N 
N 
$80  N  $100  N  $80  N 
Trelstar 

1 Kit In 1 Carton * 2 Ml In 1 Syringe 
4 


N 
N 
$80  N  $100  N  $80  N 
Trelstar 

1 Kit In 1 Carton * 2 Ml In 1 Syringe 
4 


N 
N 
$80  N  $100  N  $80  N 
Tretin.x 

1 Tube In 1 Carton > 35 G In 1 Tube 
2 


Y 
N 
$15  N  $20  N  $15  N 
Tretinoin 
10mg 
100 Capsule In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tretinoin 
1mg/g 
1 Tube In 1 Carton > 45 G In 1 Tube 
2 


Y 
N 
$15  N  $20  N  $15  N 
Tretinoin 
.5mg/g 
1 Tube In 1 Carton > 20 G In 1 Tube 
2 


Y 
N 
$15  N  $20  N  $15  N 
Tretinoin 
.25mg/g 
1 Tube In 1 Carton > 45 G In 1 Tube 
2 


Y 
N 
$15  N  $20  N  $15  N 
Tretinoin 
.25mg/g 
1 Tube In 1 Carton > 45 G In 1 Tube 
2 


Y 
N 
$15  N  $20  N  $15  N 
Tretinoin 

1 Tube In 1 Carton > 45 G In 1 Tube 
2 


Y 
N 
$15  N  $20  N  $15  N 
Tretinoin Gel Microsphere 

1 Bottle, Pump In 1 Carton > 50 G In 1 Bottle, Pump 
2 


Y 
N 
$15  N  $20  N  $15  N 
Tretinoin Gel Microsphere 

1 Bottle, Pump In 1 Carton > 50 G In 1 Bottle, Pump 
2 


Y 
N 
$15  N  $20  N  $15  N 
Trexall 
5mg 
30 Tablet, Film Coated In 1 Bottle 
2 


Y 
N 
$15  N  $20  N  $15  N 
Trexall 
7.5mg 
30 Tablet, Film Coated In 1 Bottle 
2 


Y 
N 
$15  N  $20  N  $15  N 
Trexall 
10mg 
30 Tablet, Film Coated In 1 Bottle 
2 


Y 
N 
$15  N  $20  N  $15  N 
Trexall 
15mg 
30 Tablet, Film Coated In 1 Bottle 
2 


Y 
N 
$15  N  $20  N  $15  N 
Tri Previfem 

6 Blister Pack In 1 Carton 
2 


N 
N 
$15  N  $20  N  $15  N 
Trilegest Fe 

5 Blister Pack In 1 Carton > 1 Kit In 1 Blister Pack 
2 


N 
N 
$15  N  $20  N  $15  N 
Trinorinyl 

6 Blister Pack In 1 Carton > 1 Kit In 1 Blister Pack 
4 


N 
N 
$80  N  $100  N  $80  N 
Trisprintec 

6 Pouch In 1 Carton > 1 Blister Pack In 1 Pouch > 1 Kit In 1 Blister Pack 
2 


N 
N 
$15  N  $20  N  $15  N 
Triamcinolone Acetonide 
.25mg/g 
80 G In 1 Tube 
2 


N 
N 
$15  N  $20  N  $15  N 
Triamcinolone Acetonide 
1mg/g 
80 G In 1 Tube 
2 


N 
N 
$15  N  $20  N  $15  N 
Triamcinolone Acetonide 
1mg/mL 
60 Ml In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Triamcinolone Acetonide 
5mg/g 
1 Tube In 1 Carton > 15 G In 1 Tube 
2 


N 
N 
$15  N  $20  N  $15  N 
Triamcinolone Acetonide 
.25mg/g 
1 Tube In 1 Carton > 80 G In 1 Tube 
2 


N 
N 
$15  N  $20  N  $15  N 
Triamcinolone Acetonide 
1mg/g 
1 Tube In 1 Carton > 80 G In 1 Tube 
2 


N 
N 
$15  N  $20  N  $15  N 
Triamcinolone Acetonide 
5mg/g 
1 Tube In 1 Carton > 15 G In 1 Tube 
2 


N 
N 
$15  N  $20  N  $15  N 
Triamcinolone Acetonide 
1mg/g 
1 Tube In 1 Carton > 5 G In 1 Tube 
2 


N 
N 
$15  N  $20  N  $15  N 
Triamcinolone Acetonide 
.25mg/mL 
60 Ml In 1 Bottle, With Applicator 
2 


N 
N 
$15  N  $20  N  $15  N 
Triamterene And Hydrochlorothiazide 
25; 37.5mg/1; mg 
100 Capsule In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Triamterene And Hydrochlorothiazide 
25; 50mg/1; mg 
100 Capsule In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Triamterene Hydrochlorothiazide 
50; 75mg/1; mg 
500 Tablet In 1 Bottle 
1 


N 
N 
$5  N  $10  N  $5  N 
Triamterene Hydrochlorothiazide 
25; 37.5mg/1; mg 
100 Tablet In 1 Bottle 
1 


N 
N 
$5  N  $10  N  $5  N 
Triazolam 

10 Bottle In 1 Package > 10 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Triazolam 

500 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tribenzor 
5; 12.5; 20mg/1; mg/1; mg 
30 Tablet, Film Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tribenzor 
5; 12.5; 40mg/1; mg/1; mg 
30 Tablet, Film Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tribenzor 
5; 25; 40mg/1; mg/1; mg 
30 Tablet, Film Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tribenzor 
10; 12.5; 40mg/1; mg/1; mg 
30 Tablet, Film Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tribenzor 
10; 25; 40mg/1; mg/1; mg 
30 Tablet, Film Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tricor 
48mg 
90 Tablet In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Tricor 
145mg 
90 Tablet In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Triderm 
1mg/g 
85.2 G In 1 Tube 
2 


N 
N 
$15  N  $20  N  $15  N 
Trifluoperazine Hydrochloride 
2mg 
100 Tablet, Film Coated In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Trifluoperazine Hydrochloride 
5mg 
100 Tablet, Film Coated In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Trifluoperazine Hydrochloride 
10mg 
100 Tablet, Film Coated In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Trifluoperazine Hydrochloride 
1mg 
100 Tablet, Film Coated In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Trifluridine 
10mg/mL 
7.5 Ml In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Triglide 
160mg 
1 Bottle In 1 Carton > 30 Tablet In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Trihexyphenidyl Hydrochloride 
2mg/5mL 
473 Ml In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Trihexyphenidyl Hydrochloride 
5mg 
100 Tablet In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Trihexyphenidyl Hydrochloride 
2mg 
100 Blister Pack In 1 Box, Unitdose 
2 


N 
N 
$15  N  $20  N  $15  N 
Trileptal 
300mg 
100 Tablet, Film Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Trileptal 
60mg/mL 
250 Ml In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Trileptal 
150mg 
100 Tablet, Film Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Trileptal 
600mg 
100 Tablet, Film Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Trilipix 
135mg 
90 Capsule, Delayed Release In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Trilipix 
45mg 
90 Capsule, Delayed Release In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Trilyte 
420; 1.48; 5.72; 11.2g/4L; g/4L; g/4L; g/4L 
4 L In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Trimethobenzamide Hydrochloride 
300mg 
100 Capsule In 1 Bottle, Plastic 
2 


Y 
N 
$15  N  $20  N  $15  N 
Trimethoprim 
100mg 
100 Tablet In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Trimipramine Maleate 

30 Capsule In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Trimipramine Maleate 

30 Capsule In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Trimipramine Maleate 

30 Capsule In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Trinessa 

1 Dialpack In 1 Carton > 1 Kit In 1 Dialpack 
2 


N 
N 
$15  N  $20  N  $15  N 
Triostat 

6 Vial In 1 Carton > 1 Ml In 1 Vial 
4 


N 
N 
$80  N  $100  N  $80  N 
Trisenox 
1mg/mL 
10 Ampule In 1 Carton 
3 


N 
N 
$42  N  $47  N  $42  N 
Triumeq 

30 Tablet, Film Coated In 1 Bottle 
3 


N 
N 
$42  N  $47  N  $42  N 
Trivora 

6 Blister Pack In 1 Carton > 1 Kit In 1 Blister Pack 
2 


N 
N 
$15  N  $20  N  $15  N 
Trizivir 
300; 150; 300mg/1; mg/1; mg 
60 Tablet, Film Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 
Trokendi Xr 
25mg 
30 Capsule, Extended Release In 1 Blister Pack 
4 


N 
N 
$80  N  $100  N  $80  N 
Trokendi Xr 
50mg 
30 Capsule, Extended Release In 1 Blister Pack 
4 


N 
N 
$80  N  $100  N  $80  N 
Trokendi Xr 
100mg 
30 Capsule, Extended Release In 1 Blister Pack 
4 


N 
N 
$80  N  $100  N  $80  N 
Trokendi Xr 
200mg 
30 Capsule, Extended Release In 1 Blister Pack 
4 


N 
N 
$80  N  $100  N  $80  N 
Trophamine 
.54; 1.2; .32; .024; .5; .36; .48; .82; 1.4; 1.2; g/100mL; g/100mL; g/100mL; g/100mL; g/100mL; g/100 
6 Carton In 1 Case > 1 Container In 1 Carton > 500 Ml In 1 Container 
3 


N 
N 
$42  N  $47  N  $42  N 
Trophamine 
.32; .73; .19; .02; .3; .22; .29; .49; .84; .69; .g/100mL; g/100mL; g/100mL; g/100mL; g/100mL; g/100 
12 Carton In 1 Case > 1 Container In 1 Carton > 500 Ml In 1 Container 
3 


N 
N 
$42  N  $47  N  $42  N 
Trospium Chloride 
20mg 
60 Tablet, Film Coated In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Trospium Chloride 
60mg 
30 Capsule, Extended Release In 1 Bottle, Plastic 
2 


N 
N 
$15  N  $20  N  $15  N 
Trulicity 

4 Syringe In 1 Carton 
4 


N 
N 
$80  N  $100  N  $80  N 
Trulicity 

4 Syringe In 1 Carton 
4 


N 
N 
$80  N  $100  N  $80  N 
Trusopt 
20mg/mL 
1 Bottle, Dropper In 1 Carton > 10 Ml In 1 Bottle, Dropper 
4 


N 
N 
$80  N  $100  N  $80  N 
Truvada 
200; 300mg/1; mg 
30 Tablet, Film Coated In 1 Bottle, Plastic 
3 


N 
N 
$42  N  $47  N  $42  N 
Twinrix 
720; 20[iU]/mL; ug/mL 
10 Vial In 1 Carton 
6 


N 
N 
$0  N  $0  N  NA  N 
Twynsta 
5; 40mg/1; mg 
3 Blister Pack In 1 Carton > 10 Tablet, Multilayer In 1 Blister Pack 
4 


N 
N 
$80  N  $100  N  $80  N 
Twynsta 
10; 40mg/1; mg 
3 Blister Pack In 1 Carton > 10 Tablet, Multilayer In 1 Blister Pack 
4 


N 
N 
$80  N  $100  N  $80  N 
Twynsta 
5; 80mg/1; mg 
3 Blister Pack In 1 Carton > 10 Tablet, Multilayer In 1 Blister Pack 
4 


N 
N 
$80  N  $100  N  $80  N 
Twynsta 
10; 80mg/1; mg 
3 Blister Pack In 1 Carton > 10 Tablet, Multilayer In 1 Blister Pack 
4 


N 
N 
$80  N  $100  N  $80  N 
Tybost 

30 Tablet, Film Coated In 1 Bottle 
3 


N 
N 
$42  N  $47  N  $42  N 
Tygacil 
50mg/5mL 
10 Vial, Singleuse In 1 Carton 
4 


N 
N 
$80  N  $100  N  $80  N 
Tykerb 
250mg 
150 Tablet In 1 Bottle 
5 


N 
N 
33%  N  33%  N  33%  N 
Tylenol With Codeine 
300; 30mg/1; mg 
1000 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Tylenol With Codeine 
300; 60mg/1; mg 
500 Tablet In 1 Bottle 
2 


N 
N 
$15  N  $20  N  $15  N 
Typhim Vi 
25ug/.5mL 
1 Vial, Multidose In 1 Package 
6 


N 
N 
$0  N  $0  N  NA  N 
Typhim Vi 

1 Syringe In 1 Package 
6 


N 
N 
$0  N  $0  N  NA  N 
Tysabri 
300mg/15mL 
1 Vial, Singleuse In 1 Carton > 15 Ml In 1 Vial, Singleuse 
5 


N 
N 
33%  N  33%  N  33%  N 
Tyvaso 
1.74mg/2.9mL 
4 Ampule In 1 Box > 2.9 Ml In 1 Ampule 
4 


Y 
N 
$80  N  $100  N  $80  N 
Tyzeka 
600mg 
30 Tablet, Film Coated In 1 Bottle 
4 


N 
N 
$80  N  $100  N  $80  N 